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Cardiac Anesthesia and Transesophageal Echocardiography [Grāmata]

  • Formāts: Book, 332 pages, height x width x depth: 229x152x13 mm, weight: 414 g, 20 Illustrations
  • Izdošanas datums: 16-May-2011
  • Izdevniecība: McGraw-Hill Medical
  • ISBN-10: 0071717986
  • ISBN-13: 9780071717984
Citas grāmatas par šo tēmu:
  • Formāts: Book, 332 pages, height x width x depth: 229x152x13 mm, weight: 414 g, 20 Illustrations
  • Izdošanas datums: 16-May-2011
  • Izdevniecība: McGraw-Hill Medical
  • ISBN-10: 0071717986
  • ISBN-13: 9780071717984
Citas grāmatas par šo tēmu:
A must-have guide for anesthesiologists new to the cardiac operating room

DVD with 90+ narrated TEE clips

"Overall this book is a nice guide and the quickest way to review cardiac anesthesia. 3 Stars."--Doody's Review Service

Cardiac Anesthesia and Transesophageal Echocardiography is a fast, efficient way for anesthesiology trainees to acquire the essential skills and knowledge necessary to successfully navigate the cardiac operating room. This unique guide imparts the basic principles of both cardiac anesthesia and echocardiography in a way that reflects the realities of clinical anesthesia practice.

The companion DVD contains nearly 100 narrated, labeled TEE clips that illustrate normal and abnormal echocardiographic views. Each clip is keyed to a specific passage in the text, which provides the reader with a true multimedia learning experience.

Whether youre looking for a concise, easy-to-read introduction to cardiac anesthesiology or a primer on incorporating the basic principles of cardiac anesthesiology and perioperative echocardiography into real-world practice, Cardiac Anesthesia and Transesophageal Echocardiography is your one-stop guide to mastery of these two critical topics.
Preface ix
List of Contributors
xi
Introduction to Perioperative Echocardiography 1(30)
Chapter 1 Preoperative Evaluation of the Heart Surgery Patient
31(10)
Heart Surgery Patients and Consent
31(1)
Cardiac Surgery and Gender
32(1)
Coronary Stents or Coronary Artery Bypass?
33(1)
Cardiology Evaluation
34(3)
Preoperative Assessment
37(2)
Preoperative Red Flags and What (if Anything) to do About Them
39(2)
Chapter 2 Hemodynamics and Cardiac Anesthesia
41(29)
Hemodynamic Calculations and Invasive Monitors: Why Are They Important and How to Determine Them?
41(12)
The Pumping Heart: How Does the Pump Contract and Relax?
53(6)
Pharmacology and Hemodynamics: An Introduction
59(3)
TEE and Hemodynamic Instability: How TEE Advances the Diagnosis of Hypotension?
62(4)
Avoiding Hemodynamic Collapse: A Case Illustration
66(4)
Chapter 3 Perioperative Rhythm Abnormalities
70(12)
The Electrocardiogram
70(1)
ECG Abnormalities
71(1)
Bradyarrhythmias
72(3)
Temporary Pacemaker
75(2)
Supraventricular Tachycardias
77(2)
Ventricular Tachycardia and Fibrillation
79(1)
TEE and the ECG
80(1)
Case Scenario
80(2)
Chapter 4 Routine Cardiac Surgery and Anesthesia
82(15)
Immediate Preoperative Assessment and Antibiotic Prophylaxis
83(1)
Monitoring and Vascular Access
84(1)
Anesthetic Induction and Maintenance
85(3)
Institution of Cardiopulmonary Bypass
88(1)
Separation From CPB
89(4)
Sternal Closure and Patient Transport
93(1)
Commonly Used Vasoactive Drugs in the Cardiac Surgery Patient
93(1)
Case Illustration
94(1)
Summary
95(2)
Chapter 5 The Complicated Patient for Cardiac Anesthesia and Surgery
97(22)
The Patient With Impaired Systolic and Diastolic Ventricular Function
97(15)
The Reoperative Patient
112(1)
The Diabetic Patient and Perioperative Glucose Control
113(1)
The Vascular Disease Patient in Need of Cardiac Surgery
114(1)
The Renal Failure Patient and Cardiac Surgery
115(4)
Chapter 6 Aortic Valve Disease
119(17)
The Clinical Signs and Symptoms of AV Disease
120(3)
Physiologic Compensatory Mechanisms of AV Disease
123(1)
Echocardiography and AV Disease
124(6)
Surgical and Catheter-Mediated AV Replacement
130(2)
Anesthetic Implications of AV Disease
132(2)
Clinical Scenario: The Patient With Mixed AS/AR and the Emergency Institution of CPB
134(2)
Chapter 7 Mitral Valve Disease
136(19)
The Clinical Signs and Symptoms of MV Diseases
137(2)
Physiologic Compensatory Mechanisms of MV Diseases
139(2)
Echocardiography and MV Diseases
141(8)
Surgical and Catheter-Mediated Approaches to the Repair/Replacement of the MV
149(1)
Surgical Approaches to the Management of Atrial Fibrillation
150(1)
Anesthetic Implications of MV Diseases
151(2)
Case Scenario
153(2)
Chapter 8 Right Heart Valves and Function
155(7)
The Clinical Signs and Symptoms of TV Diseases
155(1)
RV Function
156(1)
The Pulmonic Valve
157(1)
Echocardiography of Right Heart Structures and Right Ventricular Function
157(3)
Surgical Approaches to TV Diseases
160(1)
Anesthetic Implications of TV Diseases, Pulmonary Hypertension, and RV Failure
160(1)
Case Scenario: The Patient With Endocarditis
160(2)
Chapter 9 Anesthesia for Repair of Diseases of Thoracic Aorta
162(13)
Diseases of the Ascending Thoracic Aorta
163(2)
Diseases of the Descending Thoracic Aorta
165(1)
Anesthetic Management of the Patient With Disease of the Thoracic Aorta
166(2)
Distal Aortic Perfusion and Spinal Cord Protection During Descending Thoracic Aneurysm Resection
168(3)
Deep Hypothermic Circulatory Arrest
171(1)
Echocardiography in the Management of Thoracic Aortic Diseases
171(1)
Case Scenario
172(3)
Chapter 10 Hypertrophic Obstructive Cardiomyopathy and Cardiac Masses
175(11)
Signs, Symptoms, and Diagnosis of HCM
176(2)
Pathology of HCM
178(1)
Medical Therapy for HCM
179(1)
Dynamic Obstruction of the LVOT
180(1)
Anesthetic Management of the HCM Patient for Noncardiac Surgery
180(1)
Anesthetic Management for Surgical Repair of HCM
181(1)
The Surgical Approach to HCM Repair
182(2)
Cardiac Masses
184(1)
Case Scenario: 22-Year-Old Man With Sudden Cardiac Death
185(1)
Chapter 11 Ventricular Assist Devices and Heart Transplantation
186(12)
Intra-Aortic Balloon Counterpulsation and the Heart Surgery Patient
187(1)
Ventricular Assist Devices: Designs and Indications
188(1)
Short-Term VAD Placement
189(3)
Long-Term VAD Placement
192(1)
Anesthetic Management of VADs
193(1)
TEE and VADs
194(1)
Heart Transplantation
195(1)
Case Scenario
196(2)
Chapter 12 Anesthesia for Patients With Congenital Heart Disease
198(31)
Atrial Septal Defects
199(3)
Ventricular Septal Defects
202(4)
Tetralogy of Fallot
206(5)
Transposition of the Great Arteries
211(5)
Single Ventricle Patients
216(7)
Anesthesia for Noncardiac Surgery in Adults With Congenital Heart Disease
223(3)
Cardiac Surgery and Pregnancy
226(1)
TEE and CHD
227(2)
Chapter 13 Off-Pump, Robotic, and Minimally Invasive Heart Surgery
229(8)
Minimally Invasive Surgical Approaches
229(3)
Anesthetic Challenges for Off-Pump and Minimally Invasive Surgery
232(2)
Is Off-Pump Surgery Better Than On-Pump Surgery?
234(1)
Case Scenario
235(2)
Chapter 14 The Postoperative Care of the Cardiac Surgery Patient
237(14)
Routine Transport and Report
238(1)
Inflammation and the Cardiac Surgery Patient
239(1)
Genetic Associations and Cardiac Surgery Outcomes
240(1)
Perioperative Neurologic Injury
241(2)
Respiratory Failure
243(1)
Renal Dysfunction
244(1)
ICU Hemodynamics
245(2)
Analgesia, Electrolytes, Glucose
247(1)
Echocardiography in the ICU
247(4)
Chapter 15 Anesthesia in the Electrophysiology and Catheterization Laboratories
251(14)
Electrophysiology and Other Catheter-Based Procedures Overview
251(2)
EP Procedures
253(3)
Anesthetic Management of EP Procedures
256(3)
Risks and Complications of out-of-the-OR Cardiac Procedures
259(6)
Chapter 16 Coagulopathy, Bleeding, and Cardiac Anesthesia Emergencies
265(12)
Hemostasis and Cardiac Surgery
265(4)
Prevention of Blood Loss During Cardiac Surgery
269(1)
When to Transfuse
269(1)
Outcomes Following Transfusion
270(1)
Massive Transfusion and Cardiac Trauma
271(2)
Options for Patients Who Refuse Blood Product Administration
273(1)
The Emergency Patient From the Cardiac Catheterization Laboratory
273(1)
Perioperative Tamponade
274(3)
Chapter 17 Cardiopulmonary Bypass
277(14)
The Plumbing of CPB
278(1)
Bypassing the Heart
278(3)
Bypassing the Lungs
281(2)
Preserving the Heart
283(1)
Protecting the Brain
284(1)
Electrolytes and CPB
285(1)
Anticoagulation and CPB
286(2)
Systemic Inflammation and CPB
288(1)
Echocardiography and CPB
288(3)
Chapter 18 Postoperative Analgesia for Cardiac Surgery
291(12)
What are the Systemic Implications of Pain in the Cardiac Surgery Patient?
292(1)
What Modalities are Available to Treat Postoperative Pain?
293(10)
Index 303
John D. Wasnick, MD, MPH Professor and Chair Department of Anesthesiology Texas Tech Health Sciences Center School of Medicine Lubbock, TX Zak Hillel, PhD, MD Professor of Clinical Anesthesiology Director, Cardiac Anesthesia St. Luke's-Roosevelt Hospital Center New York, NY David Kramer, MD Assistant Professor Department of Anesthesiology St. Luke's-Roosevelt Hospital Center New York, NY Sanford Littwin, MD Assistant Professor Anesthesiology St. Luke's-Roosevelt Hospital Center New York, NY Alina Nicoara, MD Assistant Professor Department of Anesthesiology Duke University Medical Center Durham, NC